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General NPI Number Information
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NPI Number | 1720003890
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Entity Type | Individual
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Provider Name | DANIEL D. DOUDNA B.S., D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 4305 BROADWAY
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City | GROVE CITY
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State | OH
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Zip | 43123-3017
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Country | US
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Telephone | 614-875-1121
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Fax | 614-875-1111
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Provider Business Mailing Address
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Address Line | 4305 BROADWAY
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City | GROVE CITY
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State | OH
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Zip | 43123-3017
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Country | US
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Telephone | 614-875-1121
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Fax | 614-875-1111
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1732
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License Number State | OH
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